Ian Dacosta

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3050 White Plains Road
Bronx, NY 10469

Phone

(929) 348-4486

Fax

(718) 944-7090

NPI assigned

Dec 28, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1790140341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 DOGWOOD DRIVE",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "10598",
            "telephone_number": "917-916-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 WHITE PLAINS ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10469",
            "telephone_number": "929-348-4486",
            "fax_number": "718-944-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACOSTA",
        "first_name": "IAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred Marie Dace, R.N
• Zita Dacillo
• Melissa Dackis, PH.D.
• Beena Dacosta
• Hazel M Dacosta
• Kerry-Ann Alecia Dacosta, CNM
• Nyanga Dacosta
• Vallery Philleseter Dacosta, RN
• Dada Home Care, LLC
• Dada Social Daycare Inc

• Mental Health Counselor in Bronx, NY
• Providers in Bronx, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.